A clinical characteristics prospective study on 55 patients who suffer from acute psychosis disorder and temporary and 30 among them are multi acute rebellious disorder without the symptom of schizophrenia. The result showed that: the average initial age of acute psychosis disorder and temporary: 29.0 ± 11.29. There is no difference between male and female. The rate of acute rebellious disorder and temporary combine with SCTL is low:14.5%. For the multi acute psychosis disorder patient without the symptom of schizophrenia. The onset of disease is often sudden and rapid. Average duration of disease is short and is shorter significantly than that of other acute psychosis disorders as schizophrenia. All of them have delusion, especially persecution illusion (90%), most of them have more than two illusions: (86.7%); the illusion are often occur uncontinuously and temporary, illusion combine with hallucination seen in 70%. Some types of hallucination: fast hallucination: 70%, the content of its hallucination is complicate, mainly hallucination of hearing which appear uncontinuously: 66,7%, hallucination of hearing from outside are often seen: 66.7%. Emotion disorder often seen: anxiety: 50%, mania and depression:46.7%, unstable emotion: 36.7%
Psychotic Disorders ; Schizophrenia ; Diagnosis

Humans ; Neuroimaging ; Psychotic Disorders ; diagnosis ; White Matter

We have experienced a rare case of progressive supranuclear palsy with hallucination and delusion. The common manifestations of progressive supranuclear palsy are gait disturbance, mental change and sign of vertical ophthamoplegia but no efficacious therapy has been known. Neuropsychiatric symptom clusters include cognitive impairment, affective and behavioral changes, sleep disturbance, and psychotic symptoms. Though schizophrenia-like psychosis has been reported but this is certainly rare. Addressing a case of progressive supranuclear palsy, in whom parkisonian symptoms appeared with concurrent psychotic symptoms, we emphasize accurate diagnosis.
Delusions ; Diagnosis ; Gait ; Hallucinations ; Psychotic Disorders ; Supranuclear Palsy, Progressive*

The History of epilepsy is closely associated with development of psychiatry. Epilepsy patients have been considered to be prone to psychopathology. Although there is substantial agreement on the definition of a seizure, there is much controversy about the wide range of psychological effects, seizure related behavioral manifestations, and medication-induced behavioral changes. The biopsychosocial model for understanding altered behaviors and a multidisciplinary approach for managing epilepsy are needed. Etiologic factors affecting the behavior in epilepsy patients are diverse and multifactorial. And biological and psychosocial varaiables are more important in etiologies. The important tasks and means for understanding psychiatric comorbidity are epidemiologic studies, Video-EEG monitoring examinations for behaviors, the definitions given for the seizure characteristics and psychiatric diagnoses. In this field, the relationships between epilepsy and psychiatric illness (psychosis, depression, personality problems, fear and anxiety disorder, aggression and violence, altered sexuality) are main issues. Besides, cognitive impairment in epilepsy, quality of life assessment and psychiatric or behavioral effects of antiepileptic drugs and relationships between psychopathology and epilepsy surgery are included as another important issues. The study of epilepsy and its psychiatric comorbidity gives us a unique opportunity to expand our understanding of brain-behavior relations. Modern care of persons with epilepsy goes beyond attempts to control seizures and requires consideration of broader issues related cognitive, psychiatric, and social functioning.
Aggression ; Anticonvulsants ; Anxiety Disorders ; Comorbidity* ; Depression ; Diagnosis ; Epilepsy* ; Humans ; Psychopathology ; Psychotic Disorders ; Quality of Life ; Seizures ; Violence

Difficulties surrounding the classification of mixed psychotic and mood symptoms continue to plague psychiatric nosology. Since schizoaffective disorder was first defined in the literature, it has raised a considerable controversy regarding its clinical distinction from schizophrenia and mood disorder, especially mood disorder with psychotic feature. Recently, it seems that more people are diagnosed as mood disorder with psychotic feature rather than schizoaffective disorder when they are showing concurrent psychotic and mood symptoms. This may be due to unwillingness to make severe diagnosis at first and aggressive trend to expand the diagnostic criteria for bipolar disorder. Over-diagnosis of mood disorder with psychotic feature would expose the patients to unnecessary mood stabilizer. Therefore, it is critical to make exact diagnosis based on current diagnostic criteria and other relevant study findings. We conducted in-depth review into diagnostic criteria of DSM and ICD-10 for schizoaffective disorder and mood disorder with psychotic feature and other related studies comparing clinical features between the two disorders. As a result, important points helpful in differentiating the two disorders are highlighted and future suggestions are described.
Bipolar Disorder ; Diagnosis, Differential ; Humans ; International Classification of Diseases ; Mood Disorders ; Plague ; Psychotic Disorders ; Schizophrenia

Difficulties surrounding the classification of mixed psychotic and mood symptoms continue to plague psychiatric nosology. Since schizoaffective disorder was first defined in the literature, it has raised a considerable controversy regarding its clinical distinction from schizophrenia and mood disorder, especially mood disorder with psychotic feature. Recently, it seems that more people are diagnosed as mood disorder with psychotic feature rather than schizoaffective disorder when they are showing concurrent psychotic and mood symptoms. This may be due to unwillingness to make severe diagnosis at first and aggressive trend to expand the diagnostic criteria for bipolar disorder. Over-diagnosis of mood disorder with psychotic feature would expose the patients to unnecessary mood stabilizer. Therefore, it is critical to make exact diagnosis based on current diagnostic criteria and other relevant study findings. We conducted in-depth review into diagnostic criteria of DSM and ICD-10 for schizoaffective disorder and mood disorder with psychotic feature and other related studies comparing clinical features between the two disorders. As a result, important points helpful in differentiating the two disorders are highlighted and future suggestions are described.
Bipolar Disorder ; Diagnosis, Differential ; Humans ; International Classification of Diseases ; Mood Disorders ; Plague ; Psychotic Disorders ; Schizophrenia

Objective To explore the consistency between identification diagnosis and pre-identification clinical diagnosis of patients with mental disorder undergoing forensic psychiatry identification. Methods The identification data of 1 369 appraised individuals who underwent criminal responsibility identification carried out by the Forensic Institute of Second Affiliated Hospital of Jining Medical University from 2014 to 2017 were collected retrospectively using self-designed investigation data sorting table. A comparative analysis of the mental disorder diagnosis results of expert opinion and past clinical diagnosis results was made. Results Among 1 369 appraised individuals, 964 cases （70.4%） were identified and diagnosed with mental disorder and 405 cases （29.6%） without mental disorder. Among the former, 63.3% （610 cases） were clinically diagnosed, which was higher than 43.2% （175 cases, P<0.05） in the latter. Among the various mental disorders that had been identified and diagnosed, patients with hysteria, stress, and neurosis had the highest proportion of clinical diagnoses （86.7%）, while patients with mental retardation had the lowest proportion of clinical diagnoses （9.6%）. Schizophrenia had the highest overall consistency rate of identification diagnosis and clinical diagnosis （98.4%）, while personality and behavior disorder had the lowest （33.3%）. The overall consistency rate between clinical diagnosis and identification diagnosis of the mental disorder group was 84.1%, and the Kappa value was 0.759. Compared with clinical diagnosis, the consistency rate between inpatient diagnosis and identification diagnosis was higher （85.9%, P<0.05）. Conclusion In forensic psychiatry identification that provides data of past clinical diagnosis and treatment, a high consistency between identification diagnosis and clinical diagnosis of the appraised individual who is identified and diagnosed with mental disorder exists. Clinical diagnosis （especially the inpatient diagnosis） has a relatively good reference value for forensic psychiatry identification.
Criminals ; Expert Testimony ; Forensic Psychiatry ; Humans ; Mental Disorders/diagnosis* ; Psychotic Disorders ; Reproducibility of Results ; Retrospective Studies

According to the American College of Rheumatology classification, lupus erythematosus has five psychiatric manifestations, including cognitive dysfunction, mood disorder, anxiety disorder, psychosis, and acute confusional state, which are frequently accompanied by other symptoms. Cognitive dysfunction is the most common psychiatric manifestation in lupus patients with a prevalence rate ranging from 20% to 80%. The expression of psychiatric manifestations has been considered to be associated with disease activity, side effects of medications, and/or psychosocial stresses from the chronicity of lupus, but this has not been fully understood. Appropriate management of psychiatric symptoms is essential as it affects treatment adherence and quality of life. This review aimed to facilitate understanding of psychiatric manifestations of lupus through literature review on the prevalence, clinical features, diagnosis, and treatments of each psychiatric symptom.
Anxiety Disorders ; Classification ; Diagnosis ; Humans ; Lupus Erythematosus, Systemic ; Mental Disorders ; Mood Disorders ; Prevalence ; Psychotic Disorders ; Quality of Life ; Rheumatology

Various psychiatric symptoms, including depressive mood, cognitive dysfunction, and psychosis, have been observed in the course of Wilson disease, however both domestic and international case reports on Wilson disease presenting with typical mania before the onset of neurological or hepatic symptoms are rare. Even though the delayed diagnosis of Wilson disease can lead to irreversible impairment, including liver cirrhosis, diagnosis of Wilson disease usually takes more than two years for patients showing psychiatric symptoms as their first manifestation. Without careful observation and adequate understanding of the disease, clinicians may overlook signs and symptoms suggesting Wilson disease in patients showing typical psychiatric symptoms such as mania. In order to promote clinician's vigilance in detecting symptoms and signs of Wilson disease in patients showing symptoms of bipolar disorder, we report on a rare case of a 31-year-old male Wilson disease patient who developed symptoms of typical bipolar disorder before the onset of neurological or hepatic symptoms.
Adult ; Bipolar Disorder* ; Delayed Diagnosis ; Diagnosis ; Hepatolenticular Degeneration* ; Humans ; Liver Cirrhosis ; Male ; Psychotic Disorders

Occurrence of carbon monoxide intoxication has decreased due to decline in use of coal briquettes (anthracite) in Korea. However, suicide attempt by use of a coal fire lighter (beon-gae-tan) has shown a rapid increase over the past five years with relevance to imitated suicide. Acute carbon monoxide intoxication is a dangerous problem affecting the brain, kidney, lung, and other major organs. Sometimes, delayed encephalopathy after carbon monoxide intoxication makes clinical psychiatric diagnosis and treatment puzzling because neuropsychiatric sequelae are ambiguous with premorbid psychiatric problems, such as mood disorder, psychotic disorder, or other substance dependence. We report on a case of delayed encephalopathy of carbon monoxide intoxication and discuss its diagnosis and management.
Affective Disorders, Psychotic ; Brain ; Carbon Monoxide* ; Carbon* ; Coal ; Diagnosis ; Fires ; Kidney ; Korea ; Lung ; Mental Disorders ; Substance-Related Disorders ; Suicide